Lasik eye Surgery

[AlwaysAway]

Any referral name for shinagawa?? Thinking of getting lasik there

 

[yosemi]

after reading all the post..


can conclude that EEC, Shingawa and Clearvision prices are the lowest.


anyway how to get the referral name?

was planning to go for no touch epi lasik. any advices?

i was planning to do no touch epi lasik also but most doctor recommend use alcohol to remove the epithelial layer

 

[sibei_disappointed]

after reading all the post..


can conclude that EEC, Shingawa and Clearvision prices are the lowest.


anyway how to get the referral name?

was planning to go for no touch epi lasik. any advices?

I don't think the price is everything. For example, some clinics would do the assessment and actual surgery on the same day. After the assessment, the pupil will be dilated. SNEC and Eyesurgeons don't don surgery right after assessment. I just found out that those clinics that do surgery on the same day actually put some eyedrop to force close the pupil. This is not good for your eyes!

This new piece of info actually confirms my suspicion of the priority of some of the surgeons out there. I think some of them would place business in the first place, not your eyes..

I've booked my assessment with Eyesurgeons and if I am suitable for Lasek, will go ahead with them.

 

[sibei_disappointed]

I've done my assessment on Thursday is suitable for Lasik, Lasek, Epi-Lasik and PRK although my corneas are slightly on the thin side. Have booked appointment for Lasek.

My pupils were dilated for the assessment and experienced presbyopia (lao hua) as the eye muscles were fully relaxed. It's a strange feeling... I'm also still very sensitive to sunlight even 1 day after the assessment (which is today). Well, I take it as a primer for the post Lasek recovery! And good luck to those who thinks doing assessment and surgery on the same day is a good idea...

Managed to get some good deal for hardwarezone forumers! Dr Por will waive his doctor's fees if you mention you are from hardwarezone when you go for your assessment. Cost is around $180+ after GST.

 

[steve008]

Anyone who had moderate-high myopia and considered doing epilasik before? I have myopia of around 600 degrees and I am getting contradictory advice from different clinics. Clinic A is not recommending chances of getting haze after surgery for degrees greater than 500 is significant (well, at least significant enough to not recommend the procedure). Clinic B does not have a maximum threshold for epilasik (but would recommend cross-linking if the power exceeds 800 and/or someone with thin corneas – my 520 um corneas were considered thin). Clinic C said no problem at all (and cross-linking isn’t even needed.)

 

[sibei_disappointed]

Anyone who had moderate-high myopia and considered doing epilasik before? I have myopia of around 600 degrees and I am getting contradictory advice from different clinics. Clinic A is not recommending chances of getting haze after surgery for degrees greater than 500 is significant (well, at least significant enough to not recommend the procedure). Clinic B does not have a maximum threshold for epilasik (but would recommend cross-linking if the power exceeds 800 and/or someone with thin corneas – my 520 um corneas were considered thin). Clinic C said no problem at all (and cross-linking isn’t even needed.)

What I remembered from my research and talking to the surgeons regarding haze for epilasik as follows (I am not medically trained, take my info at your own risk :
- Epi-lasik has a slightly higher chance of haze compared to normal lasik
- the doctors use Mitomycin C during the surgery and some other medicated eye drops post surgery to reduce the chance of haze for Epilasik
- those with higher power, maybe something like 8- 900 and above have a higher chance of haze, not something like 600 degree. Btw, I have a prescription of 500 degree and I under Epi (Lasek to be precise)
- haze can also occurs for someone who is not suitable for most forms of Lasik (normal lasik, Lasek, PRK, Epi etc) at all due to thin corneas. If you are still suitable for thin cornea procedures (eg, Epi) then IMO, the risk should be manageable.


I underwent Epi-lasik last week and will share my exp in my next post.

 

[sibei_disappointed]

I went for Lasek with Dr Por from Eye Surgeons last Thursday and will share some of my observations here. I will spare you from the details like the chao da smell from the excimer laser when its burning away your corneas but focus on some of the more qualitative aspects.

An eye examination was done by an optometrist before the surgery. As it was done by a different person as compared to the pre-surgery assessment, I would expect some variations. What pleasantly surprised me was that Dr Por took the extra effort to fine tune the readings by redoing part of the examination himself. I guess he was trying his best to get the most accurate reading and thus get the best possible outcome. I don't think all surgeons will do that. Period.

During the procedure itself, Dr Por was always telling me what he is going to do next so that there are no surprises. I have gone for other more complicated surgeries before so Lasik is relatively small case for me. It might be frightening for someone who has never stepped into a OT or MRI machine before. My sister, who has Epi-lasik done years ago by a well known surgeon, did not even know if alcohol was used or a blade was used to remove the epithelium. There seem to be little or no info given by that surgeon. Dr Por was totally different.

He was also constantly reassuring me during the procedure saying I was doing well etc. Again, this will be important for those having any form of surgery for the 1st time.

Dr Por was also very patient in explaining all aspects of the procedure and how things will develop. Again, not all surgeons are like that....

My recovery is on track (Dr Por said it was actually quite fast) and I am very happy to have undergone Lasek with him. For those who are still "surgeon shopping", I would highly recommend Dr Por from Eye Surgeons.

A side note. Cater your budget for a good pair of shades. You eyes will be sensitive to light after surgery and you need the UV protection. I was tempted to just get a simple pair of shades when I found out that you cannot anyhow get 1. When you wear sunglasses, your pupils will dilate to allow more light into your eyes. As part of the light is blocked off by the sunglasses, it is fine. However, the problem lies with the UV. If you pair of shades does not have UV protection, then it means that more UV is entering your eyes compared when you are not wearing shades! So get a genuine pair of good shades. I was so tempted to get those "on sales" ones but I was not able to verify the authenticity.

 

[eyz]

bro, thanks for getting back! i assume you had went for the 1 day and 1 week follow up, right?

how is your corrected vision? is it 20/20?

and from your 2 posts, which surgery did you go for? epi or lasek?

 

[thatthingyouwant]

Hi im new to lasik and i would like to have perfect vision after going through this surgery. Some questions i have in mind i went to get a quotation from clearvision and the overall price including gst which i have to pay is around 3.6k. They mention that this is called trans epilasik is it safe overall? how long is the recovery process?

 

[sibei_disappointed]

bro, thanks for getting back! i assume you had went for the 1 day and 1 week follow up, right?

how is your corrected vision? is it 20/20?

and from your 2 posts, which surgery did you go for? epi or lasek?

Yup, I went for 1 day and 1 week follow up liao. Actually the follow up dates are flexi and dun have to die die follow 1 week.

I forgot to ask what was my vision but Dr Por did mention that its better than when I had glasses on. To me it not important at the moment as things are still blur most of the time. It will take up to 1 month to clear up.

I went for Lasek. They just call it Epi-Lasik during surgery. But I am sure its Lasek as alcohol was used to soften the epithelium and there was no blunt tool used.

 

[eyz]

bro, can you roughly give a recovery timeline at a later time, together with the complication or discomfort that you encountered.

just met a friend who did lasik a few years back. asked him about the dry eyes, he said he still experience dry eyes, and he said it is inevitable as the tear gland nerves had been severed.

 

[sibei_disappointed]

bro, can you roughly give a recovery timeline at a later time, together with the complication or discomfort that you encountered.

just met a friend who did lasik a few years back. asked him about the dry eyes, he said he still experience dry eyes, and he said it is inevitable as the tear gland nerves had been severed.

I'll just share my limited experience as of now.

I did experience lesser tear production in the first few days after surgery. There is definitely less tears when I yawn. A couple of days later, it's back to normal.

My sis who had Epi years ago commented that she had far less complications like dry eyes compared to her friends who had normal lasik. For her, everything was back to normal after about 6 months.

Dr Por did mention that you will get dry eyes initially as the epithelium heals. Even after the first 3 to 5 days of healing, the epithelium is not fully smooth yet. He showed me a picture of my eyes with some dye and there was some spots here and there. Due tot the uneven surface, the eyes cannot hold your tears and will feel dry. Putting eye droops or yawning will give you temporary good vision as the eyes are covered with tears. After, after a few seconds, the tears are drained away as your eyes cannot hold the tears well. Things should be ok after about 1 month.

Just did some googling and it seems like about 70% of tear nerves are severed during normal lasik while epi-lasik does not cur any tear nerves.

 

[sibei_disappointed]

Hi im new to lasik and i would like to have perfect vision after going through this surgery. Some questions i have in mind i went to get a quotation from clearvision and the overall price including gst which i have to pay is around 3.6k. They mention that this is called trans epilasik is it safe overall? how long is the recovery process?

There is actually some info on the clearvision site.

http://www.clearvision.com.sg/trans-epilasik/

Recovery takes about 3 to 5 days. Do not expect FULL recovery. I would expect the epithelium to fully close up but it does not mean FULL recovery.

I am not to familiar with tran epilasik but I believe it's a relatively new procedure. I am not saying its good or not good, the issue with mew procedures it that there are lesser case studies and there may be unknown factors. Eg, Epi-lasik was newer than Lasik and thought to be better initially. But after some time, doctors relies that Lasek was actually better and safer.

 

[IcYFl4mEz]

Question : After doing lasik, if your job is desk bound(facing PC everyday) , is it ok ?

 

[AlwaysAway]

Question : After doing lasik, if your job is desk bound(facing PC everyday) , is it ok ?

Currently doing desk bound after the surgeny, does not find any issue with it, juz need to constantly apply the eye drop, the doctor prescripted. Already went for the after 1 week review

 

[IcYFl4mEz]

Currently doing desk bound after the surgeny, does not find any issue with it, juz need to constantly apply the eye drop, the doctor prescripted. Already went for the after 1 week review

will it slowly increase your degree in the long run ? was thinking of goiing for lasik and get the PC prescribed lens to wear when working, to protect the eye

 

[eyz]

i think trans epi lasik is similar to no touch epi lasik. epitehlium is removed by excimer laser, and the same excimer laser is used to ablate the cornea. basically with no doctor physically intervention, it can either be a good or bad thing.

There is actually some info on the clearvision site.

http://www.clearvision.com.sg/trans-epilasik/

Recovery takes about 3 to 5 days. Do not expect FULL recovery. I would expect the epithelium to fully close up but it does not mean FULL recovery.

I am not to familiar with tran epilasik but I believe it's a relatively new procedure. I am not saying its good or not good, the issue with mew procedures it that there are lesser case studies and there may be unknown factors. Eg, Epi-lasik was newer than Lasik and thought to be better initially. But after some time, doctors relies that Lasek was actually better and safer.

 

[eyz]

thanks!

am curious whether lasek will have similar accuracy of correction as lasik, since lasek's excimer laser work on the bowman layer, whereas lasik's excimer work on the deeper stroma layer.

I'll just share my limited experience as of now.

I did experience lesser tear production in the first few days after surgery. There is definitely less tears when I yawn. A couple of days later, it's back to normal.

My sis who had Epi years ago commented that she had far less complications like dry eyes compared to her friends who had normal lasik. For her, everything was back to normal after about 6 months.

Dr Por did mention that you will get dry eyes initially as the epithelium heals. Even after the first 3 to 5 days of healing, the epithelium is not fully smooth yet. He showed me a picture of my eyes with some dye and there was some spots here and there. Due tot the uneven surface, the eyes cannot hold your tears and will feel dry. Putting eye droops or yawning will give you temporary good vision as the eyes are covered with tears. After, after a few seconds, the tears are drained away as your eyes cannot hold the tears well. Things should be ok after about 1 month.

Just did some googling and it seems like about 70% of tear nerves are severed during normal lasik while epi-lasik does not cur any tear nerves.

 

[IIRedsunsII]

Hey guys, im thinking to go clearvision for its Trans Epi-LASIK. There are several blog reviews of this clinic. So i think the standard should be not bad or else they wouldnt dare to blog so much about it.

Any thoughts or feedback from fellow hwzers?

 

[sibei_disappointed]

thanks!

am curious whether lasek will have similar accuracy of correction as lasik, since lasek's excimer laser work on the bowman layer, whereas lasik's excimer work on the deeper stroma layer.

I think the results are comparable in terms of vision, ie, 20/20 or better etc. But it seems that Lasek does have much less issue of complications compared to conventional Lasik. I had some reservations about the use of alcohol initially but after some research, there seem to be more pros than cons. The alcohol use is limited to 20secs. They count aloud during the surgery in my case! Dr Por did mention that Lasek has a slightly higher chance of haze compared to Lasik but that is controlled by the use of Mitomycin-C. There are some concerns over the use of this but again the use is timed, Again, they count aloud during surgery.

The only major downside is the initial 3 to 5 days of recovery. Yours eyes really sting when you try to open. My sis was in bed for 3 days! Well, docs say she had slow recovery. But I was quite ok by the 3rd day.